title: Comparison of the perinatal outcomes after laparoscopic myomectomy versus abdominal myomectomy.
abstract: OBJECTIVE
  To compare the perinatal outcomes after laparoscopic myomectomy (LM) versus abdominal myomectomy (AM).
  
  
  METHODS
  The medical records of 105 Japanese females who delivered after myomectomy from 2004 to 2012 at Osaka Medical College were reviewed retrospectively.
  
  
  RESULTS
  Of the 105 females who delivered after myomectomy, 48 had undergone LM and 57 had undergone AM. There were no significant differences in the perinatal outcomes including the rates of emergency cesarean sections, preterm deliveries, placental abnormalities, pregnancy-induced hypertension, low Apgar score, non-reassuring fetal heart rate patterns, and intrauterine fetal death. No significant difference was observed in the incidence of post-partum hemorrhage. There was no uterine rupture in either group. 15 (31%) of the females who had LM were candidates for transvaginal delivery, and 14 delivered vaginally (93% success rate). In contrast, 20 (35%) of the females who had AM were candidates for transvaginal delivery, and 19 delivered vaginally (95% success rate).
  
  
  CONCLUSIONS
  There were no significant differences in the perinatal outcomes between the females who had LM and AM. Moreover, both groups had a high rate of successful transvaginal delivery after selecting the appropriate candidates.
authors.affiliation: Department of Obstetrics and Gynecology, Osaka Medical College, Takatsuki, Japan.
authors.forename: Mamiko
authors.initials: M
authors.lastname: Fukuda
authors.forename: Tomohito
authors.initials: T
authors.lastname: Tanaka
authors.forename: Mika
authors.initials: M
authors.lastname: Kamada
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hayashi
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Terai
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohmichi
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000517:prevention & control; D007564:Japan; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D013536:Suture Techniques; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*